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TFC Telehealth Survey
We are always striving to improve the care of our patients. Thank you for taking the time to answer a few questions about your experience today with us.
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* Indicates required question
Please list the treating therapists name
*
Your answer
How satisfied were you with the Telehealth platform or telephone for today's session?
*
Excellent
Satisfied
Neutral
Could be Better
Needs Improvement Immediately
Other:
If you had technical difficulties, did you receive a prompt call from your provider?
*
Yes
No
Not Applicable
If no, please explain
Your answer
Were you called within 10 minutes of your scheduled appointment?
*
Yes
No
If no, please explain
Your answer
Did you feel your privacy was respected in this treatment format?
*
Yes
No
If no, please explain
Your answer
Did you end session feeling like you are a value to us?
*
Yes
No
If no, please explain
Your answer
How would you rate your connection with your therapist?
*
I did not feel heard, understood, and respected.
1
2
3
4
5
6
7
8
9
10
I felt heard, understood and respected.
How would you rate your goals and topics for session?
*
We did not work on or talk about my goals and topics.
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2
3
4
5
6
7
8
9
10
We worked on or talked about my goals and topics.
How would you rate your therapist's approach or methods?
*
The therapist's approach is not a good fit for me.
1
2
3
4
5
6
7
8
9
10
The therapist's approach is a good fit for me.
How would you rate your session overall?
*
There was something missing in the session today.
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2
3
4
5
6
7
8
9
10
Overall today's session was right for me.
Would you like our team to follow up with you regarding your survey?
Yes
No
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